Hypovolemic Shock - Shock States

Question 1

In hemorrhagic hypovolemic shock (MAP <65 due to hypovolemia) blood products are recommended, and/or 1-2 units of PRBC if the MAP and Hg are below:

Answer 1

MAP <65

Hg <70

Question 2

In hemorrhagic hypovolemic shock (MAP <65 due to hypovolemia) what’s the recommended NS bolus?

Answer 2

NS (warmed): 20 mL/kg IV/IO PRN titrated to improve BP and adequate end organ perfusion
Indicated in hemorrhagic shock if delay for blood with hypotension and altered mentation

Question 3

In hemorrhagic hypovolemic shock Octaplex is recommended if a patient is on Warfarin with an INR of what?

Answer 3

INR >1.5

Question 4

In non- hemorrhagic hypovolemic shock (MAP <65 due to hypovolemia) what fluid is recommended for a bolus and at what quantity?

Answer 4

NS or Ringers Lactate

20 mL/kg IV/IO PRN if MAP <65

Question 5

In non-hemorrhagic hypovolemic shock (MAP <65 due to hypovolemia) what medication is recommended to increase the MAP?

Answer 5

Norepinephrine 0 - 0.5 mcg/kg/min IV/IO

Question 6

In hemorrhagic shock consider blood component therapy and limit the crystalloid infusion to what?

Answer 6

1L max